Comparative study of orbital involvement in invasive and non-invasive fungal sinusitis

2011 ◽  
Vol 126 (2) ◽  
pp. 152-158 ◽  
Author(s):  
R Chandrasekharan ◽  
M Thomas ◽  
V Rupa

AbstractObjective:To investigate differences in orbital involvement in patients with invasive versus non-invasive fungal sinusitis.Method:One hundred consecutive cases of fungal sinusitis were assessed clinically and by computed tomography scan to evaluate orbital involvement.Results:Clinical orbital involvement was more common in invasive (73.5 per cent) than non-invasive (12.1 per cent) fungal sinusitis (p = 0.000). Computed tomography scanning showed similar orbital involvement in both groups, except for erosion of the floor of the orbit, which was more common in patients with invasive fungal sinusitis (p = 0.01). Extra-ocular muscle enlargement (44.4 vs 4 per cent, p = 0.01) and optic atrophy (44.4 vs 0 per cent, p = 0.003) were more common in chronic than acute invasive fungal sinusitis. Four patients (16 per cent) with acute invasive fungal sinusitis had no evidence of orbital involvement on scanning, despite clinical evidence of optic atrophy.Conclusion:Orbital involvement is more common in invasive than non-invasive fungal sinusitis. The difference is more evident clinically than on computed tomography scanning. Patients with acute invasive fungal sinusitis may have limited evidence of orbital involvement on scanning, despite extensive clinical disease.

Author(s):  
Erika Villedieu ◽  
Samuel Beck ◽  
Laurent Findji

ABSTRACT A 4 mo old female Finnish lapphund presented for further investigation of a swelling of the right rostral mandible. A computed tomography scan showed the swelling to be an expansile and osteolytic mandibular lesion. Histopathology revealed a poorly differentiated, moderately well-demarcated, unencapsulated, highly infiltrative round cell neoplasm, and immunohistochemistry was supportive of a plasmacytoma. Performance of a rostral partial mandibulectomy was initially discussed with the owners, but the lesion improved spontaneously both clinically and on repeated computed tomography scanning before surgery could be performed. It subsequently almost completely resolved 6 mo after diagnosis. Hypotheses for spontaneous regression of the lesion are discussed and the human literature is briefly reviewed.


2006 ◽  
Vol 13 (5) ◽  
pp. 269-271 ◽  
Author(s):  
Nimrod Maimon ◽  
Narinder Paul ◽  
Gregory P Downey

A ‘crazy-paving’ appearance of the lungs on computed tomography scanning of the chest was first described nearly 20 years ago in patients with pulmonary alveolar proteinosis, and was thought to be characteristic of this condition. However, this pattern has subsequently been reported in a variety of pulmonary diseases and is now considered to be nonspecific. The present report describes a case of a 74-year-old man in whom congestive heart failure presented with a crazy-paving appearance of the lungs on a chest computed tomography scan. This uncommon association illustrates the importance of the correlation of clinical and radiographic information.


2009 ◽  
Vol 30 (3) ◽  
pp. 206-209 ◽  
Author(s):  
Sonja Kinner ◽  
Patrick Veit-Haibach ◽  
Thomas C. Lauenstein ◽  
Andreas Bockisch ◽  
Gerald Antoch

2012 ◽  
Vol 127 (1) ◽  
pp. 185-194 ◽  
Author(s):  
Aidan Johnson ◽  
Melanie Archer ◽  
Lyndie Leigh-Shaw ◽  
Matthew Brown ◽  
Chris O’Donnell ◽  
...  

2019 ◽  
Vol 08 (01) ◽  
pp. e30-e32
Author(s):  
Dritan Useini ◽  
Zulfugar Taghiyev ◽  
Matthias Bechtel ◽  
Justus Strauch

AbstractThymomas are rare tumors that commonly lie in the anterior mediastinum. The arteries supplying thymomas branch from the internal thoracic arteries and their collaterals. This report presents a patient with huge mediastinal thymoma, whose sensational vascularization is ensured directly by a single dominant tributary branch of the left internal thoracic artery. After initially performed computed tomography angiography, the tumor was suspect to be vascularized from the right coronary artery. Triple-rule-out computed tomography scan was a key step for accurate radiologic diagnosis.


2015 ◽  
Vol 95 (3) ◽  
pp. 231-235 ◽  
Author(s):  
Joann K. Whalen ◽  
Liwen Han ◽  
Pierre Dutilleul

Whalen, J. K., Han L. and Dutilleul, P. 2015. Burrow refilling behavior of Aporrectodea turgida (Eisen) and Lumbricus terrestris L. as revealed by X-ray computed tomography scanning: Graphical and quantitative analyses. Can. J. Soil Sci. 95: 231–235. Solute and gas transport through earthworm burrows is altered when burrows become refilled. Earthworm burrow refilling was evaluated with non-invasive X-ray computed tomography in undisturbed soil cores. Proportionally, Lumbricus terrestris refilled burrows had more air-filled space left around their perimeter than those of Aporrectodea turgida, which often were completely refilled.


2015 ◽  
Vol 22 (1) ◽  
pp. 9-15
Author(s):  
Nadia A. Batawil

The discrepancy between bone scintigraphy and computed tomography scanning for solitary bony lesion in patients who have breast cancer is challenging to the referral physician. The purpose of this study was to evaluate the risk of malignancy in solitary lesions on bone scintigraphy in patients who had breast cancer at King Abdulaziz University Medical Centre, and to compare the results between bone scintigraphy and computed tomography scanning. There were 89 patients who had a solitary bone lesion noted on bone scintigraphy and computed tomography performed within 3 months of bone scintigraphy. The solitary bone lesions were benign in 56 (63%) patients and malignant in 33 patients (37%). There were 15 (17%) malignant lesions in bone scan that had initial computed tomography findings that were negative or equivocal for bone metastasis, but all these lesions had destructive changes on follow-up computed tomography scan. In summary, at this medical center the frequency of malignancy is high (37%) in solitary bone lesions in patients who have breast cancer, regardless of appearance of the lesion on an initial computed tomography scan. Prospective study with a larger group of patients is recommended.


2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Roberto Fiori ◽  
Roberto Chiappa ◽  
Eleonora Gaspari ◽  
Giovanni Simonetti

We report a case of a 21-year-old man with a popliteal venous aneurysm of the left popliteal fossa, with local symptoms and pain during palpation. Early diagnosis is fundamental in order to prevent the thromboembolic events or other major complications. Duplex scanning, Computed Tomography scanning, and Magnetic Resonance imaging are considered to be important non-invasive diagnostic methods for the diagnosis of PVA. The Angio Computed Tomography acquisition confirmed a 36 mm 17 mm oval mass in the left popliteal fossa continuous with the popliteal veins. This lesion had presented contrast enhancement only in delayed acquisition (180 sec) and so appeared to be a true venous aneurysm and no arterial. The PVA was repaired surgically via a posterior approach to the popliteal fossa. A aneurysm was identified. In the same time open tangential aneurysmectomy and lateral vein reconstruction were realised. This case is interesting because the Angio Computed Tomography study, in delayed acquisition, has allowed a correct diagnostic assessment of PVA and the surgical treatment.


2021 ◽  
Vol 20 (1) ◽  
pp. 72-80
Author(s):  
Hiba Karim Abd ◽  
◽  
Muhammed Mizher Radhi ◽  
Hassan Jafar Hassan ◽  
◽  
...  

Iodine solution is the only contrast medium currently used in the computed tomography scan (CT scan) examination. In the present study manganese chloride (MnCl2) solution has been chosen as alternative contrast medium in computed tomography scanning (CT scan). It was found that using MnCl2 solution as an alternative contrast medium in rabbits which enhanced the CT scan imaging in the resolution and increasing the Hounsfield unit (HU) values of heart and kidney organs in comparison with the iodine compound at the same doses. It was chosen the heart and kidney of rabbits to study the effect of using the iodine and MnCl2 solution as alternative contrast medium in CT scan imaging, the following results: the native has 45 HU for heart and 50.1 for kidney organ. While the results of using iodine solution at dose of 3 ml has 83 HU for heart and 164 HU for kidney organ. In the MnCl2 solution which used as alternative of contrast medium has 83 HU for heart and 70.3 HU for kidney at 2.5 ml of 0.5 molar of solution. From these results the resolution of CT scan image has well and clears when using the alternative contrast medium (MnCl2). We can concluded that the alternative contrast medium of MnCl2 solution has good HU values of both heart and kidney comparison with iodine solution.


2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Jose M. Porres ◽  
Jose L. Cerezuela ◽  
Oscar Luque ◽  
Pilar Marco

Although it has been considered a safe procedure, computed tomography scanning uses high doses of radiation and can cause malfunctioning in those patients with ICD when the radiation is directly incident on the device. We present a case of ventricular oversensing during a thoracic computed tomography.


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